Radiological imaging of vascular invasion by invasive mole A rare case report

Dr Manisha Joshi; Dr Archana Bhadada; Dr Ashank Bansal; Dr Soyaf A Phajlani

Volume : V, Issue : X, October - 2016

Radiological imaging of vascular invasion by invasive mole A rare case report

Dr Manisha Joshi, Dr Archana Bhadada, Dr Ashank Bansal, Dr Soyaf A Phajlani

Abstract :

Gestational trophoblastic disease (GTD) is a condition that occurs due to abnormal proliferation of trophoblastic tissue. Gestational trophoblastic neoplasia (GTN) refers to the aggressive subset of GTD that has a capability for independent growth and metastases. While ultrasound is investigation of choice, magnetic resonance imaging is used in equivocal cases to assess depth of myometrial invasion and extra–uterine spread. CT has a role in disease staging. We present a case of an invasive mole of the uterus, a subtype of GTN, with distinct ultrasound evidence of vascular invasion. To the best of our knowledge, USG demonstration of vascular invasion by cystic lesions of GTN has never been reported before. This review will describe the relevant pathophysiology and natural history of different GTN�s, and the use of imaging techniques in the diagnosis and management of these conditions.